Syringe micro vibrator (SMV) a new device being introduced in dentistry to alleviate pain and anxiety of intraoral injections, and a comparative study with a similar device 英文参考文献.docVIP
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Syringe micro vibrator (SMV) a new device being introduced in dentistry to alleviate pain and anxiety of intraoral injections, and a comparative study with a similar device 英文参考文献
ShahidiBonjarAnnalsofSurgicalInnovationandResearch2011,5:1
/content/5/1/1
HYPOTHESIS
OpenAccess
Syringemicrovibrator(SMV)anewdevicebeing
introducedindentistrytoalleviatepainand
anxietyofintraoralinjections,andacomparative
studywithasimilardevice
AmirHashemShahidiBonjar
Abstract
Background:Neurologically,itisproventhatstimulationoflargerdiameterfibers-e.g.usingappropriatecoldness,
warmth,rubbing,pressureorvibration-canclosetheneural“gate”sothatthecentralperceptionofitchandpain
isreduced.Thisfactisbasedupon“Gate-control”theoryofMelzackandWall.
Presentationofthehypothesis:SyringeMicroVibratorisanewdesignbeingintroducedforthefirsttimeinthe
fieldofDentistry.Thisdeviceisapromisingbreakthroughinpainandanxietymanagementandmaydeliver
solutionforcliniciansplaguedwithpatientpainphobia.Ithasanoff-setrotatingmicrovibrationcreatorwithultra
highfrequencyandultralowaltitudethatcanbeeasilyplacedonanystandarddentalsyringeandsome
disposablesyringes.ThisdevicewasregisteredasaninventionindentistryandreceivedIranNationalPatent
numberof63765.
Testingthehypothesis:Bycreatingmicrovibration,thisdevicewouldbeeffectiveinreducingthepainand
anxietyconfrontedwithmosttypesofintraoralinjectionsaspalatal,mandibularblock,intraligamentalandlocal
infiltration.Fromtheaspectofthepatientpainmanagement,thisdevicecontributesbothphysiologically(based
onGateControlTheoryofpain)andpsychologically(basedonthedevicefunctionaswillbeexplainedbydentist
tothepatientasamodernpainreducingtechnology).Fromtheaspectofclinician,SMVmotorprovidesvibrations
withultrahighfrequencytoalleviatepain,butsinceithasultralowvibrationaltitude,ithasnoadverseeffecton
thecliniciandexterityandaccuracyduringinjectionanditdoesnotinterferewithpinpointlocalizationof
injectionsite.
Implicationsofthehypothesis:Uponmountingonaconventionaldentalanesthesiainjectionsyringe,SMVis
switchedonandtheclinicianthenusesnormalinjectiontechniquetoadministertheanesthetic.Thisdeviceisnot
onlyausefulaccessorydeviceforordinarypatients,butalsomoreusefulforpediat
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